Section 120.11  MANG(P) Eligibility

a)         Pregnant Women Eligible for MANG(P)

1)         Eligibility for medical assistance exists for a pregnant woman of any age who does not qualify as mandatory categorically needy (42 USC 1396a(a)(10)(A)(i)) who meets the following eligibility requirements:

A)        cooperation in establishing eligibility as described in Section 120.308;

B)        residency as described in Section 120.311; and

C)        whose countable monthly income does not exceed the MANG(P) Income Standard (see Section 120.31).

2)         The pregnant woman shall be eligible to receive medical assistance until 60 days following the last day of pregnancy.  The 60 day medical coverage continues through the last day of the calendar month in which the 60 day period ends.  The 60 day medical coverage period shall be provided for all women determined eligible for medical assistance under subsection (a)(1) of this Section including women who are no longer pregnant at the time of application, but were pregnant at any time during the three calendar months preceding the month in which the application was received.  A woman who meets the requirements of this Section is eligible regardless of whether the pregnancy ended as a result of birth, miscarriage or abortion and regardless of whether she signed an adoption agreement.

3)         When a pregnant woman is determined eligible for medical assistance under subsection (a)(1) of this Section, income changes occurring after the eligibility determination are not considered through the 60 day postpartum period following the last day of pregnancy.

b)         Children Under Age 19 Eligible for MANG(P)

1)         Eligibility for medical assistance exists for children under age 19 who do not qualify as mandatory categorically needy (42 USC 1396a(a)(10)(A)(i)) who meet the following eligibility requirements:

A)        cooperation in establishing eligibility as described in Section 120.308;

B)        citizenship/alienage status as described in 120.310;

C)        residency as described in Section 120.311; and

D)        whose countable monthly income exceeds the MANG(C) or MANG(AABD) income standards (Sections 120.20 and 120.30) but does not exceed the MANG(P) income standard (see Section 120.31).

2)         Children under age 19 shall be eligible to receive medical assistance under subsection (b)(1) of this Section for a period of time as determined in Section 120.400.

3)         When the Department becomes aware of the birth of a child or children to a woman determined eligible under subsection (a)(1) of this Section while she was eligible, the child or children shall be deemed to have applied and been found eligible for medical assistance under subsection (b)(1) of this Section, without written request.  The child or children shall be eligible to receive medical assistance for a period of time as determined in Section 120.400.

(Source:  Amended at 24 Ill. Reg. 7361, effective May 1, 2000)